Regions Hospital Delineation of Privileges Physician Assistant Emergency Medicine
|
|
- Shanon Gaines
- 8 years ago
- Views:
Transcription
1 Regions Hospital Delineation of Privileges Physician Assistant Emergency Medicine Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic formal training requirements to make sure you meet them. Review documentation and experience requirements and be prepared to prove them. Note all renewing applicants are required to provide evidence of their current ability to perform the privileges being requested. When documentation of cases or procedures is required, attach said case/procedure logs to this privileges-request form. Provide complete and accurate names and addresses where requested -- it will greatly assist how quickly our credentialing-specialist can process your requests. 1
2 CORE I Emergency medicine privileges for physician assistant Privileges Initial and ongoing assessment of the patient s medical, physical, and psychiatric status including the following: perform and document complete medical history, perform and document complete physical examination, record diagnostic impressions, write orders for diagnostic tests; activities, therapies, diet and vital signs; drugs; IV fluids; blood and blood products; oxygen; and consultation with medical staff members, instruct, educate and counsel patients on health status, results of tests, disease process, discharge summaries, and planning, and evaluate interim patient status and document in the medical record. Assess, evaluate, diagnose, and initially treat patients of all ages who present to the ED with any symptom, illness, injury, or condition and provide services necessary to ameliorate minor illnesses or injuries; stabilize patients with major illnesses or injuries and assess all patients to determine if additional care is necessary. Privileges do not include long-term care of patients on an inpatient basis. Privileges do not include ability to admit or perform scheduled elective procedures with the exception of procedures performed during routine emergency room visits. Basic education and minimal formal training 1. Graduate of an Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) approved program (known as Commission on Accreditation of Allied Health Education Programs prior to January 2001) 2. Must provide evidence of current ACLS, PALS, or ATLS certification. Required documentation and experience NEW APPLICANTS: 1. License to practice as a physician assistant issued by the Minnesota Board of Medicine. 2. Current (re)certification by the National Commission on Certification of Physician Assistants. 3. Physician Physician Assistant Delegation Agreement and Notice of Intent to Practice 4. Provide contact information for (1) a physician assistant and (2) a physician whom the credentialing specialist may contact to provide an evaluation of your clinical competence to perform the privileges requested. Name of Facility: Name of Facility: REAPPOINTMENT APPLICANTS: 1. Physician Physician Assistant Delegation Agreement and Notice of Intent to Practice 2. Provide contact information for a physician whom the credentialing specialist may contact to provide an evaluation of your clinical competence to perform the privileges requested. Name of Facility: 2
3 Prescribing authority for physician assistant Privileges Dispense and administer categories of drugs including controlled substances. Basic education and minimal formal training 1. License to practice as a physician assistant issued by the Minnesota Board of Medicine. 2. Current certification/recertification by NCCPA. 3. DEA registration Required documentation and experience NEW APPLICANTS 1. Physician--Physician Assistant Delegation Agreement with Delegation of Prescriptive Practice section completed 2. Delegation Agreement and Notice of Intent to Practice REAPPOINTMENT APPLICANTS 1. Physician--Physician Assistant Delegation Agreement with Delegation of Prescriptive Practice section completed 2. Internal Protocol and Prescribing Delegation form. 3
4 Core Procedure List PA Clinical Privileges in Emergency Medicine To the applicant: Strike though those procedures you do not wish to request. This list is a sampling of procedures included in the cores. This is not intended to be all-encompassing but rather reflective of the categories/types of procedures included in the core 1. Administer analgesia; regional block anesthesia including double cuff method Bier block 2. Administer medications and perform other emergency treatment 3. Perform anoscopy 4. Apply, remove, and manage casts and splints 5. Apply, remove, and change dressings and bandages 6. Perform wound debridement, suturing, and general care for superficial wounds and minor superficial surgical procedures 7. Immobilize (spine, long bone, soft tissue) 8. Insert and remove nasogastric tubes 9. Insert Heimlich (small gauge) valve 10. Manage epistaxis 11. Ocular tonometry 12. Perform arterial puncture and blood gas sampling 13. Perform incision and drainage of superficial and complex abscesses 14. Perform interpretation of EKGs 15. Perform preliminary interpretations of simple plain X-ray films 16. Perform routine immunizations 17. Perform urinary bladder catheterization 18. Perform venous punctures for blood sampling, cultures, and IV catheterization 19. Reduce joint dislocations 20. Perform removal of foreign body 21. Splint extremity fractures 22. Trephination and removal of nail 23. Perform lumbar puncture 24. Perform arthrocentesis 25. Perform paracentesis 4
5 ACKNOWLEDGEMENT OF PRACTITIONER I have requested only those privileges for which by education training, current experience and demonstrated performance I am qualified to perform and that I wish to exercise at Regions Hospital. I understand that: 1. In exercising any clinical privilege granted, I am governed by Regions Hospital and Regions Medical Staff policies and rules applicable generally and any applicable to the particular situation. I agree to supply Regions Hospital Medical Staff Services (or designee) with all the information that has been requested of me for the privileges that I have applied for. I also understand that my application for privileges will not proceed until the information is received. Signature I have reviewed and/or discussed the privileges requested and find them to be commensurate with his/her training and experience, and recommend that his/her application proceed. Sponsoring Physician s Name (PLEASE PRINT) Sponsoring Physician s Signature DIVISION / SECTION HEAD RECOMMENDATION I have reviewed and/or discussed the clinical privileges requested and supporting documentation for the above-named applicant and make the following recommendation/s: Recommend all requested privileges Recommend privileges with the following conditions/modifications Do not recommend the following requested privileges Privilege Condition / Modification / Explanation Notes: Regions Division/Section Head Signature 5
Regions Hospital Delineation of Privileges Emergency Medicine
Regions Hospital Delineation of Emergency Medicine Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic formal
More informationClinical Privileges Profile Physician Assistant. Indu & Raj Soin Medical Center
Printed Name Clinical Privileges Profile Physician Assistant Indu & Raj Soin Medical Center Applicant: Check off the Requested box for each privilege requested. Applicants have the burden of producing
More informationApplication for Clinical Privileges Allied Health Professional Specialty: Family Nurse Practitioner (FNP)
Application for Clinical Privileges Allied Health Professional Specialty: Family Nurse Practitioner (FNP) Qualifications To be eligible to apply for core clinical privileges as a Family Nurse Practitioner
More informationRegions Hospital Delineation of Privileges Nurse Practitioner
Regions Hospital Delineation of Privileges Nurse Practitioner Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic
More informationFAMILY NURSE PRACTITIONER EMERGENCY MEDICINE
Name: Page 1 Initial Appointment Reappointment Department Specialty Area All new applicants must meet the following requirements as approved by the governing body effective: 08/05/2015 Applicant: Check
More informationRegions Hospital Delineation of Privileges Certified Registered Nurse Anesthetist
Regions Hospital Delineation of Privileges Certified Registered Nurse Anesthetist Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting.
More informationFORT HAMILTON HOSPITAL DELINEATION OF CLINICAL PRIVILEGES & QUALIFICATIONS ADVANCED PRACTICE NURSE CERTIFIED NURSE PRACTITIONER (CNP) (8/07)
Name FORT HAMILTON HOSPITAL DELINEATION OF CLINICAL PRIVILEGES & QUALIFICATIONS ADVANCED PRACTICE NURSE CERTIFIED NURSE PRACTITIONER (CNP) (8/07) ELIGIBILITY REQUIREMENTS Required Qualifications: Bachelors
More informationRegions Hospital Delineation of Privileges Internal Medicine
Regions Hospital Delineation of Internal Medicine Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic formal
More informationRegions Hospital Delineation of Privileges Internal Medicine - Endocrinology
Regions Hospital Delineation of Privileges Internal Medicine - Endocrinology Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review
More informationDETROIT MEDICAL CENTER DEPARTMENT OF EMERGENCY MEDICINE DELINEATION OF PRIVILEGES
DETROIT MEDICAL CENTER DEPARTMENT OF EMERGENCY MEDICINE DELINEATION OF PRIVILEGES Applicant Name: INSTRUCTIONS FOR ALL APPLICANTS 1. ALL applicants for appointment requesting ANY clinical privileges must
More informationControlled Substance Verification Form (Please Print or Type) Current Business Address:
WPPA, Inc. ProviDRs Care Network 1102 S. Hillside Wichita, KS 67211 Controlled Substance Verification Form (Please Print or Type) APRN Name: Kansas Certification Number: Expiration : Check your APRN Category
More informationNurse Practitioner Privileges
Boulder Community Health Medical Staff Department Nurse Practitioner Privileges Name: Please print To be eligible to request clinical privileges, the applicant must meet the following threshold criteria:
More informationCLINICAL PRIVILEGES- NEONATAL NURSE PRACTITIONER
Name: Page 1 Initial Appointment Department Reappointment Specialty All new applicants must meet the following requirements as approved by the governing body effective: 04/01/2015 Applicant: Check off
More informationPRACTICE AGREEMENT FORM
Oregon Medical Board 1500 SW 1 st Ave, Suite 620 Portland, OR 97201 (971) 673-2700 or (877) 254-6263 (toll free in Oregon) Web site address: www.oregon.gov/omb PRACTICE AGREEMENT FORM The Supervising Physician
More informationCLINICAL PRIVILEGES- PEDIATRIC NURSE PRACTITIONER
Name: Page 1 Initial Appointment Department Reappointment Specialty All new applicants must meet the following requirements as approved by the governing body effective: 08/05/2015. Applicant: Check off
More informationClinical Privileges Profile Nurse Practitioner. Kettering Medical Center System
Printed Name Clinical Privileges Profile Nurse Practitioner Kettering Medical Center Sycamore Medical Center Kettering Medical Center System Applicant: Check off the Requested box for each privilege requested.
More informationSPORTS MEDICINE CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 4/3/2013. Applicant: Check off the Requested box for
More informationDEPARTMENT OF EMERGENCY MEDICINE RULES & REGULATIONS
DEPARTMENT OF EMERGENCY MEDICINE RULES & REGULATIONS ARTICLE I - Name The name of this clinical department shall be the "Department of Emergency Medicine" of the Medical Staff of Washington Adventist Hospital.
More informationDELINEATION OF PRIVILEGES - EMERGENCY MEDICINE
KALEIDA HEALTH Name: Date DELINEATION OF PRIVILEGES - EMERGENCY MEDICINE LEVEL I (CORE) PRIVILEGES Physicians with these privileges are expected to have training and/or experience and competence on a level
More informationRegions Hospital Delineation of Privileges Certified Nurse Midwife
Regions Hospital Delineation of Privileges Certified Nurse Midwife Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education
More informationName: Date: UNIVERSITY OF MARYLAND MEDICAL CENTER Specified Services for Nurse Practitioners
UNIVERSITY OF MARYLAND MEDICAL CENTER Specified Services for Nurse Practitioners *This form should accompany your State Approved Nurse Practitioner Attestation and must coincide with what has been approved
More informationRegions Hospital Delineation of Privileges Oral & Maxillofacial Surgery
Regions Hospital Delineation of Privileges al & Maxillofacial Surgery Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education
More informationCLINICAL PRIVILEGES- ADULT OR GERONTOLOGICAL NURSE PRACTITIONER
Name: Page 1 Initial Appointment Department Reappointment Specialty All new applicants must meet the following requirements as approved by the governing body effective: 08/05/2015 Applicant: Check off
More informationUPMC For Reference Only PHYSICIAN ASSISTANT 2014
Summary of Services and Availability (by location) UPMC Each location has sufficient space, equipment, staffing and financial resources in place or available in sufficient time as required to support each
More informationDEPARTMENT OF FAMILY MEDICINE Delineation of Privileges. Name: Date:
Page 1 of 5 DEPARTMENT OF FAMILY MEDICINE Delineation of Name: Date: Types of Category I in this category include those procedures and cognitive skills involving serious medical problems that are normally
More informationDETROIT MEDICAL CENTER DEPARTMENT OF MEDICINE DELINEATION OF PRIVILEGES IN GENERAL INTERNAL MEDICINE
DETROIT MEDICAL CENTER DEPARTMENT OF MEDICINE DELINEATION OF PRIVILEGES IN GENERAL INTERNAL MEDICINE APPLICANT NAME: PLEASE PRINT QUALIFICATIONS: Effective July 1, 2009, all new applicants to the DMC will
More informationST. JOHN S HOSPITAL-ALLIED HEALTH PROFESSIONALS ADVANCED PRACTICE NURSE IN THE EMERGENCY DEPARTMENT
ST. JOHN S HOSPITAL-ALLIED HEALTH PROFESSIONALS ADVANCED PRACTICE NURSE IN THE EMERGENCY DEPARTMENT (APN) In accordance with the Nursing and Advanced Practice Nursing Act (225 ILCS 65) (the Act ), the
More informationPSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment Department Specialty Area All new applicants must meet the following requirements as approved by the governing body effective: 6/3/15 Applicant: Check off
More informationEMERGENCY MEDICINE CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 1/6/2016 Applicant: Check off the Requested box for each
More informationCLINICAL PRIVILEGES- PEDIATRIC ACUTE CARE NURSE PRACTITIONER
Name: Page 1 Initial Appointment Reappointment Department Specialty Area All new applicants must meet the following requirements as approved by the governing body effective: 09/16/15 Applicant: Check off
More informationSAMPLE WRITTEN SUPERVISION AGREEMENT
A. Physician Assistant Information 1. Name: SAMPLE WRITTEN SUPERVISION AGREEMENT 2. Illinois PA License Number: Illinois Mid-Level Practitioner Controlled Substance License Number: Federal Mid-Level Practitioner
More informationCLINICAL PRIVILEGES- FAMILY NURSE PRACTITIONER
Name: Page 1 Initial Appointment Department Reappointment Specialty All new applicants must meet the following requirements as approved by the governing body effective: 08/05/2015 Applicant: Check off
More informationCLINICAL PRIVILEGES- NURSE MIDWIFE
Name: Page 1 Initial Appointment Reappointment Department Specialty Area All new applicants must meet the following requirements as approved by the governing body effective: Applicant: Check off the Requested
More informationNEW JERSEY ~ STATUTE
NEW JERSEY ~ STATUTE STATUTE New Jersey Revised Statutes 45:9-27.10 et seq; 45:1-14 through -27 DATE Enacted 1992 REGULATORY BODY New Jersey Board of Medical Examiners PA DEFINED A person who holds a current,
More informationUNMH Certified Nurse-Midwife (CNM) Clinical Privileges
All new applicants must meet the following requirements as approved by the UNMH Board of Trustees effective: 03/27/2015 INSTRUCTIONS Applicant: Check off the "Requested" box for each privilege requested.
More informationACUTE CARE NURSE PRACTITIONER CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment Department Specialty Area All new applicants must meet the following requirements as approved by the governing body effective: 8/5/2015 Applicant: Check off
More informationOCCUPATIONAL GROUP: Health Services. CLASS FAMILY: Nursing CLASS FAMILY DESCRIPTION:
OCCUPATIONAL GROUP: Health Services CLASS FAMILY: Nursing CLASS FAMILY DESCRIPTION: This family of positions includes those whose purpose is to perform professional nursing services that directly and/or
More informationAPP PRIVILEGES IN ORTHOPEDICS
APP PRIVILEGES IN ORTHOPEDICS Education/Training Licensure (Initial and Reappointment) Required Successful completion of a PA or NP program Current Licensure as a PA or RN in the state of CA Current certification
More informationCollaborative Practice Agreement for Nurse Practitioner Management of Patients in the Specialty of Pediatric Critical Care
Collaborative Practice Agreement for Nurse Practitioner Management of Patients in the Specialty of Pediatric Critical Care Purpose Section I Introduction/Overview This document authorizes the nurse practitioner
More informationPEDIATRIC CARDIOLOGY CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 08/05/2015. Applicant: Check off the Requested box for
More informationCHAPTER 27 THE SCOPE OF PROFESSIONAL NURSING PRACTICE AND ARNP AND CNM PROTOCOLS
I. INTRODUCTION CHAPTER 27 THE SCOPE OF PROFESSIONAL NURSING PRACTICE AND ARNP AND CNM PROTOCOLS Advance registered nurse practitioners (ARNPs) and clinical nurse practitioners (CNPs) have their scope
More informationPHYSICIAN ASSISTANT STUDIES UTMB ESSENTIAL FUNCTIONS AND TECHNICAL STANDARDS Updated 04/10/13
PHYSICIAN ASSISTANT STUDIES UTMB ESSENTIAL FUNCTIONS AND TECHNICAL STANDARDS Updated 04/10/13 This description defines the capabilities that are necessary for an individual to successfully complete the
More informationCLINICAL PRIVILEGES- NURSE ANESTHETIST
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 8/5/2015. Applicant: Check off the Requested box for
More informationOREGON UNIVERSITY CLASS/COMP STUDY UNION COMMENTS
OREGON UNIVERSITY CLASS/COMP STUDY UNION COMMENTS ALLIED HEALTH JOB FAMILY Medical Assistant General Comments Rather than a single Medical Aide classification, there should be two classifications, Medical
More informationPHYSICAL MEDICINE AND REHABILITATION CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 4/3/2013. Applicant: Check off the Requested box for
More informationDENTISTRY CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 4/3/2013. Applicant: Check off the Requested box for
More informationOriginal Date: February1996 Last Revision Date: July 2006 Approved by: Barbara Flynn, RN Applies to: All Lines of Business
Policy Objective: To delineate the training, supervision and scope of practice for Medical Assistants. I. DEFINITION Medical Assistants are unlicensed persons who have received certificates indicating
More informationAdvanced Practice Nurses Authority to Diagnose and Prescribe
Advanced Practice Nurses Authority to Diagnose and Prescribe ted ec ot. r p e ht ion th rig mat of ty y r y p s o cie Co inf rte So u l o a dc dic ide Me e t a St ois v ro P n Illi www.isms.org ADVANCED
More informationPROPOSED AMENDMENTS NURSES (REGISTERED) AND NURSE PRACTITIONERS REGULATION. Health Professions Act
Health Professions Act NURSES (REGISTERED) AND NURSE PRACTITIONERS REGULATION PROPOSED AMENDMENTS TO B.C. REG. 284/2008 abc abc text to be removed text to be added Contents 1 Definitions 2 College name
More informationP.A. STUDENT COMPETENCIES, TECHNICAL STANDARDS & JOB DESCRIPTION
P.A. STUDENT COMPETENCIES, TECHNICAL STANDARDS & JOB DESCRIPTION TECHNICAL STANDARDS This description defines the capabilities that are necessary for an individual to successfully complete the physician
More informationDepartment of Veterans Affairs VHA DIRECTIVE 1063. Washington, DC 20420 December 24, 2013 UTILIZATION OF PHYSICIAN ASSISTANTS (PA)
Department of Veterans Affairs VHA DIRECTIVE 1063 Veterans Health Administration Transmittal Sheet Washington, DC 20420 December 24, 2013 UTILIZATION OF PHYSICIAN ASSISTANTS (PA) 1. REASON FOR ISSUE: This
More informationDocumentation Guidelines for Physicians Interventional Pain Services
Documentation Guidelines for Physicians Interventional Pain Services Pamela Gibson, CPC Assistant Director, VMG Coding Anesthesia and Surgical Divisions 343.8791 1 General Principles of Medical Record
More informationSTANTON TERRITORIAL HEALTH AUTHORITY CREDENTIALS COMMITTEE REQUIREMENT CHECKLIST FOR HOSPITAL PRIVILEGES
REQUIREMENT CHECKLIST FOR HOSPITAL PRIVILEGES Physician s Name: Address: Start Date: Home Phone: Work Phone: Fax: Place of work in NT Email: 1. Application for Appointment to the Medical Staff 2. Privileges
More informationFairview Health Services CLINICAL NURSE SPECIALIST Delineation of Privileges CROSSWALK FOR REQUESTING FAIRVIEW PRIVILEGES
Fairview Health Services CLINICAL NURSE SPECIALIST Delineation of PAGE 1 OF 9 Applicant s Name (please print): CROSSWALK F REQUESTING FAIRVIEW PRIVILEGES I Want to Work at the Following Fairview Entity
More informationMASSACHUSETTS GENERAL HOSPITAL Department of Nursing
Page 1 of 21 MASSACHUSETTS GENERAL HOSPITAL Department of Nursing TITLE: CREDENTIALING AND AUTHORIZATION OF NURSES IN THE EXPANDED ROLES AND PHYSICIAN ASSISTANTS WHO ARE MGH AND MGPO EMPLOYEES POLICY:
More informationBOARD OF MEDICINE: 2009 SCOPE OF PRACTICE: A COMPARISON OF FLORIDA HEALTHCARE PRACTITIONERS
BOARD OF MEDICINE: 2009 SCOPE OF PRACTICE: A COMPARISON OF FLORIDA HEALTHCARE PRACTITIONERS Anesthesiologist Assistant Medicine - Medical Doctor Medicine - House Physician PROFESSIONS Anesthesiologist
More informationPHYSICIAN AFFILIATE GROUP OF NEW YORK (PAGNY)
PHYSICIAN AFFILIATE GROUP OF NEW YORK (PAGNY) Physician Assistant position at Jacobi Medical Center, Bronx, NY in the Parasitology/Tropical Medicine Department. The PA promotes and maintains health by
More informationRegions Hospital Delineation of Privileges Cardiology
Regions Hospital Delineation of s Cardiology Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic formal training
More informationPSYCHOLOGIST CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 05/07/2014 Applicant: Check off the Requested box for
More informationAPPENDIX C Description of CHIP Benefits
Inpatient General Acute and Inpatient Rehabilitation Hospital Unlimited. Includes: Hospital-provided physician services Semi-private room and board (or private if medically necessary as certified by attending)
More information02- DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION. Chapter 8 REGULATIONS RELATING TO ADVANCED PRACTICE REGISTERED NURSING
02- DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION 380 BOARD OF NURSING Chapter 8 REGULATIONS RELATING TO ADVANCED PRACTICE REGISTERED NURSING SUMMARY: This chapter identifies the role of a registered
More informationAllied Health Care Provider: Appointment and Re-appointment
Allied Health Care Provider: Appointment and Re-appointment Document Owner: Lawson, Louise Version: 8 Effective Date: 10/23/2013 Revision Date: 4/26/2015 Approvers: Calkins, Paul; Del Boccio, Suzanne;
More informationOCCUPATIONAL GROUP: Health Services. CLASS FAMILY: Allied Health CLASS FAMILY DESCRIPTION:
OCCUPATIONAL GROUP: Health Services CLASS FAMILY: Allied Health CLASS FAMILY DESCRIPTION: This family of positions is comprised of health care practitioners with formal education and clinical training
More informationDownload from http://conovers.org/ftp/dmat-ms2.pdf and comment (Adobe Reader 9 or X), send to kconover@pitt.edu
Download from http://conovers.org/ftp/dmat-ms2.pdf and comment (Adobe Reader 9 or ), send to kconover@pitt.edu 1/19/2012 To: DMAT PA-1 Medical Staff, Physician Members From: Keith Conover, Team Medical
More informationBasic Standards for. Residency Training in. Combined Osteopathic Emergency Medicine. And. Osteopathic Family Medicine and Manipulative Treatment
Basic Standards for Residency Training in Combined Osteopathic Emergency Medicine And Osteopathic Family Medicine and Manipulative Treatment American Osteopathic Association And American College of Osteopathic
More informationIn the Hospital Setting
In the Hospital Setting 2013 PENNSYLVANIA HOSPITAL QUALITY: Achieving More Together Use of Physician Assistants, Certified Registered Nurse Practitioners, Certified Nurse Midwives, Certified Registered
More informationUNMH Procedural Sedation Privileges
o Initial privileges (initial appointment) o Renewal of privileges (reappointment) o Expansion of privileges (modification) All new applicants must meet the following requirements as approved by the UNMH
More informationEvaluation methods. Competency domain. Teaching methods. Goals and Objectives Procedure Elective PC P SBP. Clinical encounters
rocedure Elective lease note that the list of procedures is comprehensive. GOAL: Diagnostic Testing. Use and perform common diagnostic tests and imaging studies, and technical and therapeutic procedures
More informationSOUTH DAKOTA VETERINARY MEDICAL EXAMINING BOARD APPLICATION FOR REGISTRATION: VETERINARY TECHNICIAN
SOUTH DAKOTA VETERINARY MEDICAL EXAMINING BOARD 411 SOUTH FORT STREET PIERRE, SOUTH DAKOTA 57501 APPLICATION FOR REGISTRATION: VETERINARY TECHNICIAN I hereby apply for a certificate of registration of
More informationPARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY / PROCEDURE
PARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY / PROCEDURE Policy/Procedure Number: MPQG1011 External Policy Internal Policy 06/20/2007 - Healthy Kids Applies to: Medi-Cal Healthy Kids Employees Reviewing
More informationCompetencies Expected. of the Beginning. Practitioner of. Psychiatric Nursing
Competencies Expected of the Beginning Practitioner of Psychiatric Nursing Revised March 25, 1995 College of Registered Psychiatric Nurses of British Columbia ******* College of Psychiatric Nurses of British
More informationPROPOSED AMENDMENTS - NURSES (REGISTERED) AND NURSE PRACTITIONERS REGULATION. Health Professions Act
Health Professions Act NURSES (REGISTERED) AND NURSE PRACTITIONER REGULATION PROPOSED TO REPLACE B.C. REG. 284/2008 Contents 1 Definitions 2 College name 3 Reserved titles 4 Scope of practice 5 Patient
More informationROCHESTER AREA SCHOOL DISTRICT
No. 210 SECTION: PUPILS ROCHESTER AREA SCHOOL DISTRICT TITLE: USE OF MEDICATIONS ADOPTED: August 11, 2008 REVISED: August 25, 2014 210. USE OF MEDICATIONS 1. Purpose The Board shall not be responsible
More informationFrom: James V. McDonald, MD, MPH, Chief Administrative Officer Board of Medical Licensure and Discipline. Date: 15 November 2013
Rhode Island Department of Health Three Capitol Hill Providence, RI 02908-5094 www.health.ri.gov To: Members of the Community interested in the proposed: Guidelines for Minimum Standard of Conduct for
More informationOriginal Date: 02/01/996 Last Revision Date: 04/21/2014 Approved by: Clinical Quality Improvement Work Group (CQIW) Effective Date: 04/21/2014
Purpose: To delineate the training, supervision and scope of practice for Medical Assistants. Policy: The Central California Alliance for Health (the Alliance) requires that all Medical Assistants of Alliance
More informationMEDICAL STAFF RULES AND REGULATIONS
MEDICAL STAFF RULES AND REGULATIONS ARTICLE I. PROFESSIONALISM 1.1 These rules and regulations are intended to provide comprehensive information to members of the Ambulatory Surgery Center in order for
More informationCommunity Center Readiness Guide Additional Resource #17 Protocol for Physician Assistants and Advanced Practice Nurses
Community Center Readiness Guide Additional Resource #17 Protocol for Physician Assistants and Advanced Practice Nurses PROTOCOL FOR PHYSICIAN ASSISTANTS AND ADVANCED PRACTICE NURSES 1. POLICY Advanced
More informationRadiologist Assistant Role Delineation
Radiologist Assistant Role Delineation January 2005 Background The American Registry of Radiologic Technologists (ARRT) is developing a certification program for a new level of imaging technologist called
More informationCompetency Related Criteria
Discipline Educational Requirements Competency Related Criteria Other General Criteria Radiology Practitioner Assistant (RPA) 1. Current Certification and Registration by the American Registry of Radiologic
More informationGuidelines for Updating Medical Staff Bylaws: Credentialing and Privileging Physician Assistants (Adopted 2012)
Guidelines for Updating Medical Staff Bylaws: Credentialing and Privileging Physician Assistants (Adopted 2012) Executive Summary of Policy Contained in this Paper Summaries will lack rationale and background
More informationPRICELIST. State Term Schedule Number 800163 Index No. STS155 Temporary Medical Staffing. Effective July 01, 2011 through June 30, 2014
PRICELIST State Term Schedule Number 800163 Index No. STS155 Temporary Medical Staffing Effective July 01, 2011 through June 30, 2014 1 Holiday Observation: Hours worked on the following holidays will
More information5557 FAQs & Definitions
5557 FAQs & Definitions These Questions and Answers are intended to present information that has been acquired as part of the discovery process and provides necessary context for the Policy Directives
More informationFERNDALE AREA SCHOOL DISTRICT
No. 210 SECTION: PUPILS FERNDALE AREA SCHOOL DISTRICT TITLE: MEDICATIONS ADOPTED: AUGUST 1985 REVISED: DECEMBER 6, 2000 MAY 9, 2007 JUNE 17, 2009 JUNE 18, 2014 210. MEDICATIONS REVISED: 1. Purpose The
More informationADVANCED PRACTICE NURSING WRITTEN COLLABORATIVE AGREEMENT
ADVANCED PRACTICE NURSING WRITTEN COLLABORATIVE AGREEMENT A. ADVANCED PRACTICE NURSE INFORMATION 1. NAME: 2. ILLINOIS RN LICENSE NUMBER: ILLINOIS APN LICENSE NUMBER: ILLINOIS MID-LEVEL PRACTIONER LICENSE
More informationDr. Joshua D. Dion DNP, A.C.N.P-BC, R.N.-BC. Northeastern University, Boston MA, Doctor of Nursing Practice Degree (January 2014).
Dr. Joshua D. Dion DNP, A.C.N.P-BC, R.N.-BC Education: Northeastern University, Boston MA, Doctor of Nursing Practice Degree (January 2014). MGH Institute of Health Professions, Boston, MA, Master of Science
More informationKENTUCKY BOARD OF NURSING 312 WHITTINGTON PARKWAY, SUITE 300 LOUISVILLE, KY 40222-5172
KENTUCKY BOARD OF NURSING 312 WHITTINGTON PARKWAY, SUITE 300 LOUISVILLE, KY 40222-5172 SUMMARY REPORT OF KENTUCKY BOARD OF NURSING ADVISORY OPINIONS ON NURSING PRACTICE ISSUES INDEX: 1. Licensure Requirements
More informationClinical Privileges Profile Diagnostic Radiology. Greene Memorial Hospital
Printed Name Clinical Privileges Profile Diagnostic Radiology Greene Memorial Hospital Privileges are covered by an exclusive contract. Practitioners who are not a party to the contract are not eligible
More informationMedicare Claims Benefit Manual Chapter 15 Covered Medical and Other Health Services Incident To
Medicare Claims Benefit Manual Chapter 15 Covered Medical and Other Health Services Incident To Revision Date 11/18/11 60 - Services and Supplies 60.1 - Incident To Physician s Professional Services 60.2
More informationSAMPLE LETTER OF EMPLOYMENT
SAMPLE LETTER OF EMPLOYMENT Dear : On behalf of the Medical Center I am pleased to welcome you as a Physician Assistant for our Medical Clinic. This letter contains details about your starting salary and
More informationLONDON DEANERY PROVIDER SUPPORT OPERATIONS DEPARTMENT FOUNDATION PROGRAMME
LONDON DEANERY PROVIDER SUPPORT OPERATIONS DEPARTMENT FOUNDATION PROGRAMME Policy Name Foundation Doctor Role and Responsibilities within the Local Education Provider and Minimum Requirements for Clinical
More informationImportant Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.alaskacare.gov or by calling 1-800-821-2251. Important
More informationDelineation of Privileges Department of Emergency Medicine. Name: Please print or type LEVEL I PRIVILEGES
University of Michigan Hospitals and Health Centers Delineation of Privileges Department of Emergency Medicine Name: Please print or type LEVEL I PRIVILEGES Urgent Care Medicine, Pediatric Emergency Medicine
More informationINCIDENT TO A PHYSICIAN'S PROFESSIONAL SERVICE
INCIDENT TO A PHYSICIAN'S PROFESSIONAL SERVICE To qualify as incident to, services must be part of your patient s normal course of treatment, during which a physician personally performed an initial service
More informationJOB DESCRIPTION FORM. Location: FHP
JOB DESCRIPTION FORM Job Title: Medical Assistant Location: FHP Job Summary: Reports directly to the Senior Specialty Services Manager and interviews patients to obtain medical information and measures
More informationARIZONA STATE SENATE Fifty-Second Legislature, Second Regular Session
Assigned to HHS FOR COMMITTEE ARIZONA STATE SENATE Fifty-Second Legislature, Second Regular Session FACT SHEET FOR registered nurses; advanced practice Purpose Modifies statutes related to the licensing
More informationDETROIT MEDICAL CENTER DEPARTMENT OF PEDIATRICS DELINEATION OF PRIVILEGES IN PEDIATRIC CARDIOLOGY. Applicant Name PLEASE PRINT QUALIFICATIONS:
DETROIT MEDICAL CENTER DEPARTMENT OF PEDIATRICS DELINEATION OF PRIVILEGES IN PEDIATRIC CARDIOLOGY QUALIFICATIONS: Current Board Certification or active participation in the certification process leading
More informationLicensure & Scope of Practice: The Nurse Practice Act
Nursing Care Delivery: Current Challenges, Future Opportunities Leading Age 2015 Senior Living Conference September 29, 2015 9:00 am Polsinelli PC. In California, Polsinelli LLP Licensure & Scope of Practice:
More informationNAPCS Product List for NAICS 62121 (US, Mex): Offices of Dentists
NAPCS List for NAICS 62121 (US, Mex): Offices of Dentists 62121 1 Services of dentists Providing dental medical attention by means of consultations, preventive services, and surgical and non-surgical interventions.
More informationRN CONSULTATION. KEY TERMS: Assessment Basic tasks Consultation Home health services PRN Written parameters OBJECTIVES:
RN CONSULTATION The purpose of this section is to assist the learner in understanding the role of a registered nurse (RN) consultant and when to seek RN consultation. KEY TERMS: Assessment Basic tasks
More informationMISSISSIPPI LEGISLATURE REGULAR SESSION 2015
MISSISSIPPI LEGISLATURE REGULAR SESSION 2015 By: Senator(s) Burton To: Public Health and Welfare SENATE BILL NO. 2096 1 AN ACT TO AMEND SECTIONS 73-15-5 AND 73-15-20, MISSISSIPPI 2 CODE OF 1972, TO DELETE
More information